Best Core Administrative Processing Systems Software

Products Buyer's Guide
6.8
Optum360
★★★★★

Optum360

Optum360 sits at the center of the health care financial exchange. It combines technology, methodology and expertise to help payers and providers collaborate. Its seamless, transparent revenue cycle capabilities strengthen and sustain the payer and provider relationship.

Waste of money! - Administrator in Health, Wellness and Fitness

Ease of use
Support
Ease of Setup
8.0
PLEXIS Payer Platforms
★★★★★

PLEXIS Payer Platforms

PLEXIS platforms provide core administration (benefit administration) and claims management engines.

Good product - Internal Consultant in Hospital & Health Care

Ease of use
Support
Ease of Setup

Languages supported: English

Platforms: Mac, Win, Linux

Price: $$$$$

Business Size: 1

10.0
Simple Fractal
★★★★★

Simple Fractal

Custom robotic process automation solutions scaled for the middle-market

Highly recommend Simple Fractal for automation solutions - Nik S.

Ease of use
Support
Ease of Setup
8.4
Medisoft
★★★★★

Medisoft

Medisoft is a compact solution for the healthcare industry that deals with both clinical and administrative requirements of healthcare centers.

Dates appointment software - Isabella J.

Ease of use
8.0
Support
8.4
Ease of Setup
6.1
8.6
TriZetto QNXT
★★★★★

TriZetto QNXT

TriZetto offers consulting, IT, and business process solutions to streamline the deployment and adoption of technologies and improve operations for payers and providers in the health care industry. TriZetto solutions are designed to improve efficiency, accuracy, compliance, and results throughout the health care system.

A Data Analyst's and Developer's Dream - Bruce W.

Ease of use
8.9
Support
8.5
Ease of Setup
8.7
8.6
NaviNet Open
★★★★★

NaviNet Open

NaviNet Open Foundation consists of a series of layers: a platform, a set of network services, a suite of reimbursement-related and clinical applications, and a set of tools that customers can use to configure and customize the system.

Navinet is very helpful in medical billing and more - User in Mental Health Care

Ease of use
7.5
Support
8.7
Ease of Setup
0.0
9.0
Allscripts PayerPath
★★★★★

Allscripts PayerPath

Allscripts Payerpath® is an Internet-based suite of solutions that addresses every step in the reimbursement cycle.​

Excellent and effective tool - User in Medical Practice

Ease of use
Support
Ease of Setup
8.0
ABILITY COMPLETE
★★★★★

ABILITY COMPLETE

ABILITY COMPLETE puts together all-payer eligibility verification with a powerful workflow dashboard. You can assign and prioritize patients, payers and tasks, plus create individualized reminders and payer-specific notes to help staff more effectively manage multiple activities.

Great system for checking eligibility for most payers - User in Hospital & Health Care

Ease of use
Support
Ease of Setup
0.0
intellicare
★★★★★

intellicare

intellicare is a new generation Core Claims System built from the ground up by healthcare payer professionals for healthcare payer professionals.- We Deliver an affordable and quality focused Enterprise Core Claims Processing System and Services built with modern technology.intellicare Is a powerful rule driven, highly customer configurable, flexible, and scalable enterprise Core Claims Administrative System. The system empowers payer ...

Intellicare - New Enterprise Claims System - Graham H.

Ease of use
Support
Ease of Setup
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